Väntetiden för patienter som ådragit sig höftfraktur till operation är ofta lång och kan uppgå till över ett dygn. I första delen av vårdkedjan är det ambulanssjuksköterskan som möter patienter som ådragit sig höftfraktur och omhändertagandet där smärtbehandling ingår genomförs med stöd av upprättade vårdriktlinjer. Ambulanssjuksköterskan har ett ansvar enligt svensk lag att den prehospitala akutsjukvården som genomförs ska vara evidensbaserad.Syftet med denna studie var att undersöka specialistutbildade ambulanssjuksköterskors uppfattningar om möjligheten att bedriva evidensbaserad vård vid prehospital smärtbehandling av patienter med höftfraktur. Detta är en kvalitativ studie med beskrivande design.Resultatet visade att den specialistutbildade ambulanssjuksköterskan uppfattade generellt att vårdriktlinjerna var tydliga och lätta att förhålla sig till. De uppfattade att smärtbehandling var väl fungerande och evidensbaserad.

This study aims to give an account of five teachers? views and understandings of second language (L2) learners? previous knowledge, as well as, their linguistic and cultural backgrounds. This is carried out by the means of qualitative interviews, where the sampling consists of five primary school teachers at various schools. The findings are presented and analyzed using a thematic analysis. Furthermore, the study indicates that teachers in general have a positive attitude to learning more about their L2 learners? prior knowledge and backgrounds, both for the pupils, as well as, their own sake.

The aim of this study is to shed light on the phenomenon of destructive sexual behavior among youth from the perspective of professionals working at nonprofit organizations. To examine this, we used a qualitative method; we interviewed professionals working at nonprofit organizations. To analyze our results we used gender theory and empowerment theory. Our main results are that the professionals view this behavior as deliberate self-harm, such as cutting, as they do it to achieve relief from anxiety. Also, the professionals think that gender norms affect young people with destructive sexual behavior in that it imposes guilt and shame, which inflicts their already low self-esteem and makes them feel inferior.

Background: Multiple myeloma is a malignant incurable cancer disease associated with severe chronic pain. The nurse has several important roles in the management of patients with multiple myeloma. This study focuses on nurse´s roles including the caring of pain relief.Aim: The aim of this study was to elucidate the nurse?s role in giving care to patients with multiple myeloma and associated chronic pain.Method: This literature study was based on scientific articles.Results: The nurse is in a key position to facilitate ongoing adequate pain and psychosocial assessment of patients with multiple myeloma. The study presents ways of relieving pain and suffering via different ways of caring management.

Twitching is frequently used in horse management because of its sedating and pain-relieving effects. In this study, the effects on the horse?s nervous system by twitching were investigated by thermography of the skin temperature. The temperature is regulated by the sympathetic nervous system through postganglionic sfincters at the capillaries of the skin. The effects on the endocrine activity have also been studied by the measuring of ACTH and cortisol in blood plasma.

The aim of this study was to look into why children receive the interventions contact person and contact family. This was done by studying case-files. The main questions were:-       How common is it that there are reasons for the intervention linked to parents and which are the most common?-       How common is it that there are reasons for the intervention and problems linked to children and which are the most common?-       Is there any indication of connections between reasons, age, gender or type of intervention? If so, what are the connections?The main results of this study were that most of the children lived with a single mother, often with a weak social network, and in need of relief. It was more common that reasons were linked to children then parents and the most common reasons indicated a need for an extra adult.

IntroductionTactile Massage is a generic term that for example includes Massage therapy, Effleurage, Gentle touch, Tactile stimulation, Soft massage and Aromatherapy massage (SBU 2009). Tactile Massage has been proven to activate the perception receptors of the body and stimulates the system of oxytocin and in that way Tactile massage increase wellbeing and decrease pain. The Church of Sweden was formally separated from the state in the year of 2000 and by this means created greater freedom in facilitating its own social and Deaconal programs in separate parishes. Since 2004 a few numbers of deacons have been integrating Tactile massage as a method in Deaconal  ministry within the framework of holistic care in the Church of Sweden.Aim/Research questionsThe aim: From a holistic perspective investigate the use of and to increase the problem-awareness of Tactile massage in the Deaconal ministry within the Church of Sweden.The research questions: How is Tactile massage being used and how are we to describe the experiences of Tactile massage in the Deaconal ministry? What possibilities and difficulties are related to the use of Tactile massage in the Deaconal ministry within the Church of Sweden?MethodThis study is the first explorative research about Tactile massage in Swedish church diaconal context.

Ämnesområdet avhandlar svenskt, finskt, danskt och norskt bistånd (säkerhetsfrämjande stöd) till de baltiska länderna Estland, Lettland och Litauen under perioden 1991-2001. Undersökningen omfattar främst den säkerhetspolitiska målsättning som respektive nordiskt land har haft för sitt stöd till respektive baltiskt land under 1991-2001. Syftet är att  analysera de fyra nordiska ländernas individuella säkerhetspolitiska  målsättningar och därigenom se om de fyra nordiska aktörerna verkligen är så koordinerade i sitt stöd som de övergripande målsättningarna kan ge sken av? Uppträder de fyra nordiska länderna som den koordinerade aktör som man ibland kan få uppfattningen av? Eller är det så att de i verkligheten agerar som fyra separata aktörer? Som modell för att analysera det nordiska ländernas stöd har det vidare säkerhetsbegreppet för staten använts..

I takt med Försvarsmaktens ökade engagemang internationellt och det faktum att alla insatsförband inom Försvarsmakten ska kunna verka på alla konfliktnivåer och i en urban miljö kommer nya krav och behov på bekämpningsförmågan att uppstå avseende precisionsbekämpning.Med hjälp av ett GIS kopplat till EOI:et vid en insats i en urban miljö kan en rad vinster erhållas för att stödja artilleriet vad avser precisionsbekämpning. Exempel på sådana områden är: målverifiering, justering av målkoordinater, lägesuppfattning avseende målets närmiljö, redovisning och presentation av verkansområde inför en insats för dimensionering av verkan..

This final thesis is performed on commission of Torsby forestry administration, Stora Enso Skog. Stora Enso Skog is one of the major forestry companies of Sweden. The main business area is located in and around the region of Bergslagen. During the last decade the practice of forest management has rapidly changed due to a new forest legislation. The new law has resulted in that the production goal is equal to the environmental goal within forestry.

Valmets own foundry in Karlstad has during a long period of time had problems being profitable. The goal today is to turn this around. Today there are three different productionlines; engine blocks, Yankeecylinders and components for the wind turbine industry. This master thesis has focused on examining if value stream mapping is a useful tool to use in a foundry, and therefore outside the typical manufacturing industry. The target has also been to evaluate if there is a possibility to improve the flow in the foundry and also the results.During the 20 weeks this work has been done at the foundry data has been collected and analyzed.

This essay is derived from a case study about the SIRA school in Betlehem. SIRA is classified as a special education school with financial support from the Swedish International Relief Association. SIRA acts to provide support for children with reading and writing difficulties in their daily school work.The study's aim to describe the context for SIRA's specialized educational activity. The formulated questions should provide answers to which factors that influence SIRA's work, its goals, development, and the distinguished pedagogical approach.During the research comprehensive interviews were conducted with parties which can influence the way schools operate and provide the necessary support for students. Factors that influence the school's operation are analyzed from a ecological development perspective created by Urie Bronfenbrenner. The theory advocates that a student's development and interaction mainly comes from participating in activities, social roles and relations.This constant process of mutual adaptation between the developing individual and its surrounding environment is to be defined as its own entity. The result shows that SIRA's practice a special educational operation with focus on an approach which strengthens the student's identity and communicational skills..

The aim of this bachelor thesis is to find out how a number ofhospital librarians look at child and youth patients' reading and itspossible role in a mental and physical healing process. We alsoinvestigate the knowledge, strategies and thoughts the librarianshave on bibliotherapy.Qualitative interviews have been used and seven librarians, at twodifferent hospital libraries with children's and youth activities, wereinterviewed during November and December 2011. The analysis isbased on one theory; we use Sten Furhammar?s model whichincludes four different categories of reading.We can see, according to the librarians? answers, that the mostcommon function of the patients? reading can be explained throughtwo of Furhammar?s categories. Our respondents believe that thepatients mostly read to relax from heavy thoughts and situationswhich can be connected to the category impersonal experiencereading.

Confusion can be a life threatening condition that is often missed by the nurses, thus it occurs in the same range as pain, fever or infections. Aim: The aim of this study was to describe the phenomenon of confusion among elderly patients, in order to establish a wider understanding of the patient's nursing needs. Method: Literature study based on scientific material. Results: The result showed the patient's ability to recollect and reconstruct episodes of confusion. During the confusion the stories contained a wide variety of experiences, such as threat, fear, suspicion, chaos and order, unreal experiences, a need to escape and a bad sleep.

In the last decades, lean production has proven to be one of the most important organizational paradigms in manufacturing. The lean concept has also spread into the service industry where it is applied within a range of different areas. The wide applicability of lean principles has spurred the authors of this study to apply the principles in the context of the operations of a Swedish remand prison. The thesis examines the process a client of the remand prison Häktet Kronoberg goes through from the time of arrest until he/she is released or convicted and transferred to jail. Based on lean tools and principles, the thesis maps and analyses this process.